A mother of a school-age client who recently had surgery for the removal of tonsils and adenoids complains that the child has begun sucking his thumb again. Which coping mechanisms is the child using to cope with the surgery and hospitalization?
1. Repression
2. Rationalization
3. Regression
4. Fantasy
Correct Answer: 3
Rationale: The correct answer is regression, which is a return to an earlier behavior. Repression is the involuntary forgetting of uncomfortable situations, rationalization is an attempt to make unacceptable feelings acceptable, and fantasy is a creation of the mind to help deal with an unacceptable fear.
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An adolescent attempts suicide several days after a high school peer committed suicide. The student's mother is devastated that this could happen and that the family could be so unable to tell that their child was at risk
Which response by the school nurse best reflects our understanding of suicide in adolescence? Select all that apply. a. Most persons who attempt suicide conceal their despair and their intent from others quite effectively so no one will interfere with their attempt. b. Adolescents have an immature prefrontal cortex, leading to greater impulsiveness, impaired judgment, and less ability to tolerate frustration. c. Serotonin pathways are not fully developed until adulthood, leading to moodiness and sudden onset of depression in children. d. People, particularly adolescents, sometimes identify with others who have attempted suicide, leading them to decide to attempt suicide as well. e. The grief following a peer's death, by suicide or otherwise, can itself contribute to depression and a significant increase in suicide risk. f. Usually when one adolescent has committed suicide and others follow with their own attempts, they are trying to evoke the attention shown to the dead child.
An older client with chronic health problems does not want to be admitted to a nursing home for continued care. What can the nurse explain to the client about nursing homes today? Select all that apply.
1. Nursing homes are for short-term stays. 2. Nursing homes help the client with activities of daily living. 3. Nursing homes are being replaced with community-based services. 4. Nurses in nursing homes provide at least 5 hours of care to each client each day. 5. Nursing homes help with bathing, toileting, meals, and medication administration,
As a community health nurse, you have seen much health worker migration. The result has been an increase in the burden to care for the community
Using your management knowledge you anticipate the task to manage health care for individuals in the community will shift primarily to what health care worker? A) Primary care providers B) Social workers C) Physician assistants D) Nurses
The nurse is caring for a patient with renal artery stenosis who has been prescribed benazepril [Lotensin]. Which laboratory result indicates an adverse effect of this drug?
A. Potassium level of 3.2 mEq/L B. Blood glucose level of 180 mg/dL C. Serum creatinine level of 2.3 mg/dL D. Uric acid level of 10 mg/dL